| NPI | 1184873531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 020177) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 065517-1) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2013-08-05 |